The PRECEDE framework was developed in the 1970s by Green and colleagues (Green, Kreuter, Deeds, and Partridge, 1980). The acronym stands for Predisposing, Reinforcing, and Enabling Constructs in Educational/Environmental Diagnosis and Evaluation. PRECEDE is based on the premise that, just as medical diagnosis precedes a treatment plan, so should educational diagnosis precede an intervention plan. This approach addressed a concern among some professionals that health education was focused too much on implementing programs and too little on designing interventions that were strategically planned to meet demonstrated needs (Bartholomew, Parcel, Kok, and Gottlieb, 2001).